RIGHT STEPS

A 65-year-old man presents to the emergency department with an acute ischemic stroke. His CT scan is normal. His blood pressure is 180/100 mm Hg. What is the most appropriate treatment for his hypertension? A labetalol (Normodyne) 20 mg IV B nifedipine (Procardia) 10 mg po C nitroprusside (Nipride) drip at 1 mg/kg/min D clonidine (Catapres) 0.1 mg

A 62-year-old man with a history of hypertension, diabetes mellitus type 2, hyperlipidemia, and chronic tobacco use presents to the office with complaints of a retrosternal chest pressure radiating down his left arm, associated with diaphoresis, nausea, and dyspnea, for the last 45 minutes after mowing his lawn. The patient's vital signs are stable, and on physical examination a new systolic murmur is appreciated. According to the most recent American College of Cardiology/American Heart...

What is the EM approach? - Treatment may be required - and should be initiated - while awaiting diagnostic results Patient with hypotension needs IV fluid administration while determining cause of the hypotension Patient with severe shortness of breath needs airway support (nebulized treatments, bipap, intubation) while awaiting test results How to interact with patient in EM setting - Introduce yourself to all persons in the room Ensure patient privacy "Sit down and shut up"- Let the...

ow back pain diagnostic - Red flag signs and symptoms Systemic ailments, including fever, chills, night sweats, and/or unexplained weight loss (indicates infection or malignancy) History of malignancy or IV drug use (increased risk of osteomyelitis/epidural abscess) Profound or progressive neurologic deficit (look for weakness, spasticity, or hyper/hyporeflexia) - prompt referral to a spinal surgeon Sphincter disturbance (bladder or bowel) - sign of sacral root encroachment from significan...

When performing pediatric surgery, the temperature of the room must be adjusted before the patient enters approximately A. 30 minutes prior and between 75.6 and 78.8 degrees Fahrenheit. B. one hour prior and between 75.6 and 78.8 degrees Fahrenheit. C. 30 minutes prior and between 78.8 and 80.6 degrees Fahrenheit. D. one hour prior and between 78.8 and 80.6 degrees Fahrenheit. - C. 30 minutes prior and between 78.8 and 80.6 degrees Fahrenheit. The patient is scheduled for a laparoscopic a...

The respiratory therapist receives an order to set up a moderate level of O2 on a patient who arrives in the ED breathing at a rate of 35 breaths/min. Which of the following O2 delivery devices is most appropriate to use in this situation? A. Simple O2 mask at 10 L/min B. Nasal cannula at 4 L/min C. NRB Mask at 15 L/min D. Air-entrainment mask at 40% O2 - D. Air-entrainment mask at 40% O2 A severe COPD patient arrives in the emergency department on a 2 L/min nasal cannula. Arterial blo...

A dental carie is another name for a _____________. a. Dental iinstrument b. The gum line c. Cavity d. Plaque build-up e. Gingivitis - c. Cavity Which of the following is one of the main reasons for a root canal? a. tooth is cracked b. The pulp can't be fixed c. Gums are bleeding d. A cavity is present e. Enamel is worn off - b. . The pulp can't be fixed Vital whitening is performed on which of the following? a. Dentures b. Tooth with no live nerve c. Tooth with live nerve d. C...

variable-interval schedule - a reinforcement schedule that reinforces a response at unpredictable time intervals What schedule of reinforcement is: rewarding a subject after one minute of activity, three minutes of activity, six minutes of activity, and so on... - variable-interval In operant conditioning, reinforcement ______________ behavior and punishment _______________ behavior. - Increases, Decreases What is the difference between positive and negative reinforcement? - Positive rei...

A nurse is monitoring a client who has a pneumothorax and a chest tube in place with a closed chest drainage system connected to low suction. For which of the following findings should the nurse notify the charge nurse - Fluctuation of the water level in the water seal chamber -constant bubbling in the suction control chamber - periodic bubbling in the water seal chamber - Persistent bubbling in the water seal chamber - - Persistent bubbling in the water seal chamber Excessive and persi...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hos...